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Wisconsin rates for HCPCS A6261

Wound filler, gel/paste, per fl oz, not otherwise specified

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.00 / $125.89 / $125.89
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.00 / $1.58 / $2.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.69 / $4.27 / $9.12
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$38.90 / $45.71 / $72.44
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.90 / $33.88 / $47.86
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.58 / $2.14 / $4.90
DeanCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.95 / $11.75 / $16.22
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.58 / $2.34 / $5.37
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.58 / $1.74 / $22.91
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.19 / $33.11 / $70.79
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.95 / $6.17 / $8.71
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.01 / $5.01 / $89.13
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.80 / $23.99 / $33.88
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.31 / $6.76 / $7.41
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.10 / $1.62 / $3.02